| Heal And Restore Therapy Llc | |
|
1000 Lafayette Blvd Ste 1100 Bridgeport CT 06604-4710 | |
| (203) 590-1542 | |
| Not Available |
| Full Name | Heal And Restore Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1000 Lafayette Blvd Ste 1100, Bridgeport, Connecticut |
| Authorized Official Name and Position | Rosalie Coriolan (MANAGING MEMBER) |
| Authorized Official Contact | 2035901542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal And Restore Therapy Llc 1204 Main St Ste 560 Branford CT 06405-3787 Ph: () - | Heal And Restore Therapy Llc 1000 Lafayette Blvd Ste 1100 Bridgeport CT 06604-4710 Ph: (203) 590-1542 |
| NPI Number | 1598425688 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598425688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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